Stroke Journal

JANUARY 30, 2025

Background and Purpose:Intracerebral and subarachnoid hemorrhages comprise roughly 15% of all strokes but have a higher risk of mortality and morbidity than ischemic strokes. Controlling hypertension after a hemorrhage is the primary intervention to limit the risk of hematoma expansion (HE) and the sequelae of secondary injury.

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Stroke Journal

FEBRUARY 1, 2024

Current guidelines for blood pressure (BP) management in patients with intracerebral hemorrhage (ICH) recommend acute lowering of systolic BP (SBP) to 140 mm Hg with a maintenance goal of 130 - 150 mm Hg. Stroke, Volume 55, Issue Suppl_1 , Page AWP175-AWP175, February 1, 2024.

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Blood Pressure Hemorrhage Outcomes Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Background and Objectives:There are limited data evaluating the optimum blood pressure (BP) goal post mechanical thrombectomy (MT) and its effect on outcomes of patients with large vessel occlusions (LVO). Methods:We searched the PubMed, and Embase to obtain articles related to blood pressure control post MT through September, 2023.

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Blood Pressure Article Hemorrhage Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Goal blood pressure was defined as systolic blood pressure <160. Median initial blood pressure in the MSU was 190/99, which dropped to a median blood pressure of 157/80 upon arrival to the hospital. The target blood pressure goal was met much quicker in the MSU.

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Hemorrhage Blood Pressure Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

Introduction:The 2022 AHA/ASA Guidelines for Nontraumatic ICH recommend initiating blood pressure (BP) reduction within 2 hours of onset and achieving a target systolic BP of 130-150 mmHg within one hour of initiating a BP medication. Stroke, Volume 56, Issue Suppl_1 , Page ATMP66-ATMP66, February 1, 2025.

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Blood Pressure Hemorrhage Education Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Background:Optimal Blood pressure management after thrombectomy for acute ischemic stroke and its association with clinical outcomes remains unclear. We performed this study to compare clinical outcomes between intensive systolic blood pressure (SBP) control (<120-140mmHg) and conventional SBP control (< 180mmHg).Methods:In

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Blood Pressure Stroke Strokes Outcomes 40

Stroke Journal

JANUARY 26, 2025

Stroke, Volume 56, Issue 2 , Page e100-e100, February 1, 2025.

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Blood Pressure Hemorrhage Hospital Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

Project analysis began by identifying care opportunities.

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Hemorrhage Stroke Strokes Best Practices 40

Stroke Journal

DECEMBER 15, 2023

Intracerebral hemorrhage is the most serious type of stroke, leading to high rates of severe disability and mortality. Patients with intracerebral hemorrhage who fail to receive early aggressive care have worse outcomes, suggesting that an important treatment opportunity exists. Stroke, Ahead of Print.

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Best Practices Hemorrhage Blood Pressure Innovation 75

Stroke Journal

JANUARY 30, 2025

Background and Issues:Timely identification and intervention are critical for positive outcomes in acute intracerebral hemorrhage (ICH) patients. Establishing clear time targets for getting imaging, initiating blood pressure control, reversing anticoagulation, and admission to Neuro ICU led to a reduction in mortality and 30 day readmissions.

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Stroke Journal

FEBRUARY 1, 2024

Studies suggest increased hemorrhage risk in patients with BP ≥170 mmHg and greater BP variability.Methods:We performed a retrospective study with data from the Get with The Guidelines database and electronic medical record of all adult AIS patients treated with TNK at a Comprehensive Stroke Center from 6/2021 to 6/2023.

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Stroke: Vascular and Interventional Neurology

FEBRUARY 26, 2024

BACKGROUNDAlthough postprocedure blood pressure (BP) correlates with outcome in patients undergoing endovascular thrombectomy (EVT), the optimal target is unknown.METHODSWe performed a pilot randomized‐controlled clinical trial enrolling participants with persistently elevated BP after successful EVT.

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Blood Pressure Outcomes Stroke Strokes 40

Journal of the American Heart Association

FEBRUARY 26, 2025

BackgroundA strong risk factor for intracerebral hemorrhage (ICH) is elevated arterial blood pressure, which is known to vary by season, with highest values in winter months. Whether ICH can be prevented by better control of arterial blood pressure in seasons with expected incidence peaks will require further studies.

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Hemorrhage Blood Pressure Inpatient Risk Factors 40

Stroke Journal

NOVEMBER 2, 2023

Therefore, ASPIRING (Antiplatelet Secondary Prevention International Randomized Study After Intracerebral Hemorrhage) aims to recruit 4148 ICH survivors to determine the effects of antiplatelet agents after ICH definitively overall and in subgroups. 0.87]) and might increase the risk of ICH (rate ratio, 1.67 [95% CI, 0.97–2.90]).

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Hemorrhage Stroke Strokes Blood Pressure 40

Stroke Journal

JANUARY 30, 2025

Introduction:Intracerebral hemorrhage (ICH) leads to the highest mortality among stroke patients. The checklist tracks blood pressure (BP) management and calling a neurosurgery consult. Stroke, Volume 56, Issue Suppl_1 , Page AWP136-AWP136, February 1, 2025.

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Hemorrhage Blood Pressure Academic Nursing 40

Stroke Journal

JANUARY 30, 2025

Background:The 2023 American Heart Association/American Stroke AssociationsGuideline for Management of Patients with Aneurysmal Subarachnoid Hemorrhage(SAH) support use of the Ottawa Rule to screen individuals at risk. Stroke, Volume 56, Issue Suppl_1 , Page ANS1-ANS1, February 1, 2025.

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Nursing Hemorrhage RN Blood Pressure 40

Frontiers in Cardiovascular Medicine

APRIL 6, 2025

Early after correction, intravenous antihypertensive agents, such as sodium nitroprusside, esmolol, and labetalol, are commonly used to stabilize blood pressure and reduce the risk of complications like cerebral hemorrhage.

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Stroke Journal

JANUARY 30, 2025

Introduction:Intracranial hemorrhage (ICH) is the most severe adverse effect of anticoagulation in atrial fibrillation (AF) patients. Stroke, Volume 56, Issue Suppl_1 , Page A49-A49, February 1, 2025. Hypertension, diabetes, hyperlipidemia, and chronic kidney disease are well-known cardiovascular risk factors for ICH.

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Atrial Fibrillation Hemorrhage Risk Factors Kidney Disease 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Intracerebral hemorrhage (ICH) incidence follows both seasonal and diurnal patterns noted in the literature. These differences have been attributed to variations in the coagulation cascade, blood pressure, and sleep-wake cycle that all have their own noted rhythmicity. hospitals between 1/1/2020 and 12/31/2021.

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Hemorrhage Blood Pressure Hospital Research 40

Stroke Journal

FEBRUARY 1, 2024

Background:We have previously identified that hemoglobin decrements and new-onset anemia during an intracerebral hemorrhage (ICH) hospitalization is frequent, rapid, and associates with poor outcome. Stroke, Volume 55, Issue Suppl_1 , Page AWP176-AWP176, February 1, 2024. The mean age was 66.5 (SD were female. 0.99, p=0.04).

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Hemorrhage Blood Pressure Ischemia Hospital 40

Stroke Journal

JANUARY 30, 2025

Introduction:INTEREACT 4 demonstrated lowering blood pressure in the prehospital setting improves outcomes for patients with intracerebral hemorrhage (ICH) but worsens outcomes for acute cerebral ischemia (ACI). Stroke, Volume 56, Issue Suppl_1 , Page AWP142-AWP142, February 1, 2025.

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Technology Hemorrhage Blood Pressure Ischemia 40

Stroke Journal

JANUARY 30, 2025

Background:Direct oral anticoagulants (DOAC) are associated with an increased risk ofhematoma expansion (HE) in spontaneous intracerebral hemorrhage (ICH). Stroke, Volume 56, Issue Suppl_1 , Page A84-A84, February 1, 2025. However, thecritical DOAC level influencing this risk remains unclear.

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Hemorrhage Blood Pressure Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Introduction:Intracerebral hemorrhage (ICH) is associated with poor outcomes in part due to a lack of perceived sense of urgency. HE was defined as per revised criteria (33% relative or 6 mL absolute increase in ICH volume, or new presence or 1mL increase in intraventricular hemorrhage).Results:Among

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Hemorrhage Academic Blood Pressure Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Outcomes of MSU management in patients with intracranial hemorrhage (ICH) have not been reported.Methods:We conducted a retrospective review of ICH patients enrolled in the Benefits of Stroke Treatment Using a Mobile Stroke Unit (BEST-MSU), a prospective multicenter controlled trial comparing MSU with standard EMS management (SM).

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Stroke Journal

OCTOBER 16, 2023

BACKGROUND:Cerebellar intracerebral hemorrhage (cICH) is often attributed to hypertension or cerebral amyloid angiopathy (CAA). to −7.30];P=0.001), and higher admission systolic blood pressure (172 [146–200] versus 146 [124–158] mm Hg,P<0.001).CONCLUSIONS:Our Stroke, Volume 54, Issue 12 , Page 3074-3080, December 1, 2023.

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Hemorrhage Blood Pressure Hypertension Academic 40

Stroke Journal

JANUARY 30, 2025

Introduction:The rapid identification of acute intracerebral hemorrhage (ICH) in patients with symptoms of acute stroke is decisive for prehospital triage and initiation of targeted therapies. Glial fibrillary acidic protein (GFAP) is a highly promising blood biomarker indicating ICH.

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Hemorrhage Stroke Strokes Blood Pressure 40

Stroke Journal

JANUARY 30, 2025

Introduction:Oxidative stress plays an important role in both early brain injury and delayed cerebral ischemia after subarachnoid hemorrhage (SAH). There were no differences in blood pressure or body weight between the two groups. Stroke, Volume 56, Issue Suppl_1 , Page AWP368-AWP368, February 1, 2025. P<0.05, Fig.

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Hemorrhage Outcomes Blood Pressure Ischemia 40

Stroke Journal

NOVEMBER 1, 2023

BACKGROUND:Smoking is a well-established risk factor for subarachnoid hemorrhage (SAH), and current smokers have an increased risk of SAH. Stroke, Volume 54, Issue 12 , Page 3012-3020, December 1, 2023. Smoking status (continuation or cessation) before the occurrence of SAH was evaluated using the repeated national health screening program.

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Hemorrhage Blood Pressure Risk Factors Strokes 40

Dr. Smith's ECG Blog

JULY 3, 2020

She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. mEq/L A subsequent ECG was recorded several hours later, after the hemorrhage was controlled and the blood pressure stabilized: Sinus rhythm with normal intervals, no RBBB, no LAFB, no long ST segment. mEq/L and 3.8

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Hemorrhage Critical Care Blood Pressure Laboratory 52

Stroke: Vascular and Interventional Neurology

DECEMBER 19, 2023

hours]); lower Glasgow Coma Scale scores (14 [IQR, 12–15] versus 15 [IQR, 14–15]); higher systolic blood pressure 15 minutes before andexanet alfa bolus (mean, 151.6 hours [interquartile range (IQR), 1.2–4.3 hours] versus 3.7 hours [IQR, 1.6–7.0 mm Hg [SD, 24.1 mm Hg] versus 143.3 mm Hg [SD, 22.3 mL [IQR, 13.3–50.8 mL] versus 8.6

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Hemorrhage Blood Pressure Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Introduction:For stroke survivors, blood pressure (BP) reduction significantly lowers the risk of recurrence; a 10mmHg decrease in systolic BP is associated with a 20% risk reduction. of population, while hemorrhagic strokes accounted for 16.8%. Stroke, Volume 56, Issue Suppl_1 , Page A21-A21, February 1, 2025. Black race, 5.9%

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Stroke Strokes Blood Pressure Hemorrhage 40

All About Cardiovascular System and Disorders

APRIL 21, 2024

These clots can get dislodged and travel to blood vessels of the brain and block them, producing a stroke. Another reason for stroke is high blood pressure. When the blood pressure goes very high suddenly, small blood vessels in the brain may break leading to a bleed into the brain matter.

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Heart Disease Stroke Strokes Blood Clot 40

Stroke Journal

FEBRUARY 1, 2024

In the total population, 25% had an intracerebral hemorrhage, 56% had an ischemic stroke, and 19% had a subarachnoid hemorrhage. However, the frequency of subarachnoid hemorrhages was the lowest in the WA cohort (9%) in comparison to AA (33%) and those WAA lineage (22%), p-value 0.017.

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Risk Factors Stroke Strokes Hemorrhage 40

Stroke Journal

JANUARY 30, 2025

However, the relationships between blood pressure (BP) after EVT and outcomes had not been determined. Background:Endovascular thrombectomy (EVT) has improved both short-term and long-term outcomes for acute ischemic stroke (AIS) patients caused by large vessel occlusion (LVO).

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Stroke Strokes Hemorrhage Blood Pressure 40

Stroke Journal

FEBRUARY 1, 2024

Background:One of the keys to mitigating adverse outcomes of an ischemic or hemorrhagic stroke is timely access to a stroke center. For intracerebral hemorrhage, early intensive blood pressure lowering within 2 hours of onset improved outcomes.

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Stroke Strokes Hemorrhage Blood Pressure 40

Circulation

NOVEMBER 11, 2024

Background:Long term follow-up data on elevated blood pressure (BP) or antihypertensive drugs in young adults are scarce. The primary outcome was a composite of the incidence of myocardial infarction and ischemic and hemorrhagic stroke, obtained by tracking the medical use data of the first-ever ICD-10 codes.

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Hypertension Myocardial Infarction Cardiovascular Disease Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

1] This might result in worse outcomes, despite successful recanalization, from hyper‐ or hypoperfusion with a risk for hemorrhagic conversion or larger stroke volume, respectively. Follow up imaging revealed hemorrhagic conversion in the bed of the stroke with intraparenchymal bleeding (PH1) (Figures 1F‐H).This

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